摘要
目的探讨肺癌根治术后并发乳糜胸的诊治方法。方法200i年1月至2016年1月在抚顺矿务局总医院胸外科进行肺癌手术后出现乳糜胸并治愈的患者42例临床资料进行吲顺性分析。结果42例患者中，行左肺上叶切除者10例，右肺上叶切除者12例，右肺下叶切除者9例，左肺下叶切除者11例。42例均治愈，行保守治疗19例，行手术治疗23例。42例患者均治愈，19例经过保守治疗治愈，23例经过手术治疗治愈。下叶切除经保守治疗治愈的病例数与上叶切除经保守治疗的治愈病例数的差异有统计学显著性（P=0．029）。结论忡癌术后乳糜胸的发生主要与手术有关，如果肺癌术后并发乳糜胸。行下叶切除暂行保守治疗治愈可能性要大于上叶切除者（差异有统计学够著性），对临床病例在保证安全的前提下。应在经过充分保守治疗（繁食水，肠外营养，并行胸腔内化学治疗）2周无效情况下。积极手术治疗。
Objective To explore the treatment of chy[othorax after radical resection of pulmonary carcinoma. Methods 1325 pa- tients with lung cancer and radical resection of pulmonary carcinoma from Jan. 2001 to Jan. 2016 were retrospective analyzed. Postopera rive chylothorax was found in ,12 cases. Results In the 42 cases, 10 cases with left upper lobectomy, 12 cases with right upper lohecto- my, 9 cases with right lower lobeetomy, 11 cases with left lower lobectomy. The 42 cases were cured, which were 19 cases with conser vative treatment, and 23 cases with the secondary surgery. The difference between the upper and lower lobectomy with conservative treatment is signaficant in statistics （P=0. 029）. Conclusion The Postoperative chylothorax with lung cancer radical resection is asso- ciation with thc surgery, and cured possibility in conservative treatment in the cases with the lower lobectomy were better than the up- per ones. In clinicah we should do the enough conservative treatment for2 weeks, then do the surgery in time.
出处
《检验医学》
CAS
2016年第B11期122-123,共2页
Laboratory Medicine
关键词
肺癌
乳糜胸
保守治疗
手术治疗
Lung cancer Chylothorax The secondary surgery Conservative treatment
